LAW-DEN NURSING HOME, INC.


Address: 1640 Webb St, Detroit, MI 48206-1350
Phone: 3138671719

LAW-DEN NURSING HOME, INC. (NPI# 1568429835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568429835
Entity Type Organization
Organization Name LAW-DEN NURSING HOME, INC.
Practice Address 1640 Webb St
Detroit
MI 48206-1350
Practice Telephone 3138671719
Mailing Telephone 3138671719
Mailing Fax Number 3138671840
Enumeration Date 2006-04-28
Last Update Date 2020-08-22
Authorized Official Name MR. TODD JOHNSON (ADMINISTRATOR)
Authorized Official Telephone 3138671719
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 15840 MI Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 2152001 05

Office Location

Street Address 1640 WEBB ST
City DETROIT
State MI
Zip Code 48206-1350

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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Competitor

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City DETROIT
Zip Code 48206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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